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Updated: Jul 12, 2026

A Treatment Package without Escape Extinction to Address Food Selectivity
Published on: August 21, 2015
Specialist feeding clinics
1The General Infirmary at Leeds, Belmont Grove, Leeds LS2 9NS, UK. john.puntis@leedsth.nhs.uk
Insights
Feeding difficulties in children cause family stress and impact health. Specialist clinics offer support, but evidence on intervention effectiveness is limited, highlighting a need for more research.
Area of Science:
- Pediatric Gastroenterology
- Child Health
- Developmental Pediatrics
Background:
- Feeding difficulties are prevalent in early childhood.
- These issues cause significant family stress and can impair child growth and health.
- Feeding problems are common in children with chronic illnesses, especially neurodevelopmental disorders.
Purpose of the Study:
- To address the need for comprehensive management of pediatric feeding problems.
- To evaluate the effectiveness of interventions offered by specialist feeding clinics.
- To provide expert help and support for families and patients experiencing feeding challenges.
Main Methods:
- Review of multidisciplinary approaches for feeding problem assessment and management.
- Analysis of data from specialist feeding clinics.
- Literature review on the effectiveness of interventions for pediatric feeding disorders.
Main Results:
- Existing multidisciplinary approaches do not cover the full spectrum of feeding problems.
- Specialist feeding clinics address a critical need for expert support.
- Limited published data exist on the effectiveness of interventions provided by these clinics.
Conclusions:
- There is a clear need for evidence-based strategies to manage pediatric feeding difficulties.
- Further research is required to establish the efficacy of interventions in specialist feeding clinics.
- Improving outcomes for children with feeding problems requires robust data on treatment effectiveness.
Abstract:
Feeding difficulties are common in early life and in addition to causing considerable family stress may adversely affect growth and health. They are also a frequent feature of chronic childhood illness, particularly in neurodisability. While various different multidisciplinary approaches to assessment and management are described, none have been directed to managing the whole spectrum of feeding problems in children with and without underlying disease. Although specialist feeding clinics attempt to address a very clear need for expert help and support on the part of families and patients, few data have been published to establish the effectiveness of the interventions offered.
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